Organization Active NPI

Cheyenne County Hospital Association Inc

Doing business as Sidney Regional Medical Center Physicians Clinic-Chappell

  • Rural Health Clinic/Center
  • Chappell, NE
National Provider Identifier
1477827244
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHEYENNE COUNTY HOSPITAL ASSOCIATION INC
Doing business as
Sidney Regional Medical Center Physicians Clinic-Chappell
Practice address
562 Vincent Ave
Chappell, NE 69129-9713
Phone
(308) 874-2255
Fax
(308) 874-2854
NPI assigned
Feb 27, 2012
Last updated
Dec 18, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CHEYENNE COUNTY HOSPITAL ASSOCIATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly K. Utley
Title
Cfo
Phone
(308) 254-5825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

562 Vincent Ave
Chappell, NE 69129-9713

Mailing address

1000 Pole Creek Xing
Sidney, NE 69162-2900
Phone (308) 254-5825

Other names 1

  • Sidney Regional Medical Center Physicians Clinic-Chappell Doing business as

National Provider Directory

National Provider Directory
Part of
Memorial Hospital

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1477827244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622900",
            "telephone_number": "308-254-5825",
            "fax_number": "308-254-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 VINCENT AVE",
            "city": "CHAPPELL",
            "state": "NE",
            "postal_code": "691299713",
            "telephone_number": "308-874-2255",
            "fax_number": "308-874-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE COUNTY HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEYENNE COUNTY HOSPITAL ASSOCIATION INC",
        "enumeration_date": "2012-02-27",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "308-254-5825"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney Regional Medical Center Physicians Clinic-Chappell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chappell, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.